Individual
MRS. SHAVON CHAMERI PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 730-0742
(844) 309-7454
Mailing address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 260-7719
(844) 309-7454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23157
SC
Other
Enumeration date
08/12/2019
Last updated
11/25/2020
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